Youth with mental illness struggle to receive essential behavioral health care. One obstacle is denial of coverage by insurance. In California, managed care consumers may apply for independent medical review (IMR) which potentially overturns an insurance denial through the California Department of Managed Healthcare (CDMHC). The authors aim to…

Background: Engagement of individuals with an intellectual disability and their caregivers in health care has been highlighted as an essential factor in developing services that better meet client needs; however, few studies have focused on the engagement of individuals with a dual diagnosis (intellectual disability co-occurring with a mental…

Medicaid is the fourth largest federal funding source for K-12 schools, supporting over $7.5 billion of school-based health services every year. If Congress cuts Medicaid, states -- and school districts -- will receive less funding. This will force states and local communities to increase taxes and reduce or eliminate various programs and…

This study sought to characterize caregiver concerns for autistic children receiving care in two public service systems--schools and mental health programs--and to identify child and family characteristics associated with these concerns. Caregivers of 353 school-age autistic children in mental health services (n = 192) or schools (n = 161) named,…

In 2011, the United States Congress amended and passed laws requiring states to monitor and decrease psychotropic medication use in child welfare systems. In addition to prescribers, Luna et al. "Behavior and Social Issues," 27, AA16-AA20, (2018) identified case managers, caregivers, and teachers as potential contributors to the…

The American Camp Association and Association of Camp Nursing collaborated for the creation of the Healthy Camps initiatives from 2006-2020. During that time, the initiative developed a holistic approach to a healthy camp framework by examining and addressing a range of challenges experienced by camp programs in the United States. Camper and staff…

PEERS® for Adolescents is an evidence-based social skills intervention for autistic youth and adolescents with other social challenges. The efficacy and effectiveness of PEERS® are well established; however, limited data on PEERS® via telehealth delivery exist. The current study aimed to examine the efficacy of PEERS® for Adolescents via…

To address the daunting behavioral and mental health needs of Kansas' rural and underserved communities, Telehealth ROCKS (Rural Outreach for the Children of Kansas) Schools project partnered with school-based health centers, school districts, and special education cooperatives to provide a range of telebehavioral health intervention services and…

Background: Addiction medicine still largely neglects the topic of mild and borderline intellectual disabilities (MBID), although patients with MBID are considered a risk group for substance-related problems and offending behaviour. This study aimed to explore the cognitive and adaptive impairments of inpatients in forensic addiction mental health…

Burnout among nursing faculty is a growing concern, yet there is limited qualitative research exploring the perceptions of contributing factors to burnout among nursing faculty in the U.S. A qualitative study design was utilized using a descriptive method. Semi-structured interviews were conducted with a purposeful sample of academic nursing…

Background: ADHD is highly prevalent in adolescents. ADHD is characterized by heightened impulsive behavior and is often associated with increased risk-taking behavior in adolescence. Previous research has mostly focused on negative aspects of risk-taking behavior. However, recently two other types of risk-taking behavior have been identified:…

Background: Educators in rural schools are uniquely situated to address youth mental health disparities, yet often face challenges in delivering mental health supports. This paper describes the process of adapting the evidence-based Coping Power program, a small group prevention program for youth with aggressive behavior problems, to be a…

About three in ten Americans with hypertension do not take medication to control their blood pressure. The risk and protective factors of non-adherence to prescribed anti-hypertensive medication have not been well investigated. Participants who were aware of their hypertension, advised by healthcare professional to take anti-hypertensive…

People with intellectual and developmental disabilities (IDD) are frequent users of health services. We examined how their service utilization of emergency department (ED), inpatient hospitalization, and primary care physicians changed as they transitioned from fee-for-service to Medicaid managed care (MMC). Our results showed that MMC reduced the…

Background: Adolescents' school engagement, mental health, and substance use have been major concerns during the COVID-19 pandemic, particularly given disruptions to school instruction. We examined how the instructional setting was associated with academic and health-related outcomes within an adolescent cohort followed during the pandemic.…